The radiological versatility of fibrous dysplasia: An 8-year retrospective radiographic analysis in a north Indian population

Indian J Dent. 2014 Jul;5(3):139-45. doi: 10.4103/0975-962X.140823.

Abstract

Objective: The aim of this study was to examine the clinical and radiographic presentation of fibrous dysplasia through an 8-year retrospective study in patients who reported to the outpatient unit of the Kothiwal Dental College and Research Centre, Moradabad.

Materials and methods: The clinical file records and radiographs of the patients who reported to the outpatient clinic in the Department of Oral Medicine and Radiology were retrospectively reviewed for histopathologically diagnosed fibrous dysplasia. A detailed analysis of the clinical and radiographic features of the 14 cases retrieved was carried out.

Results: Almost all the patients presented with a complaint of swelling on the side of the face. The maxilla was more frequently involved than the mandible. The most common radiographic pattern observed was the ground-glass appearance, followed by orange peel, cotton wool, sunray and thumb print appearance, which leads to a perplex differential diagnosis.

Conclusion: Awareness of the versatile features of fibrous dysplasia evident through this study is essential in the accurate diagnosis and proper treatment planning of such lesions.

Keywords: Cotton wool; fibrous dysplasia; ground glass; orange peel; thumb print.